Provider Demographics
NPI:1235328212
Name:BRINKMAN, VALERIE CLARE (LAC)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:CLARE
Last Name:BRINKMAN
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5601 REYNOLDS RD
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78749-2011
Mailing Address - Country:US
Mailing Address - Phone:512-892-5370
Mailing Address - Fax:
Practice Address - Street 1:6012 W WILLIAM CANNON DR STE C101
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78749-1999
Practice Address - Country:US
Practice Address - Phone:512-731-5604
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-16
Last Update Date:2007-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC00323171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist